ArticleInternational orthopaedics2020
Risk factors of thigh pain following total hip arthroplasty with short, tapered-wedge stem.
Article in International orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 26 citations in OpenAlex.
- Cortical hypertrophies in cementless short stem total hip arthroplasty in young patients under 60 years and elderly patients over 75 years-analysis of outcome and risk factors for cortical hypertrophies.Archives of orthopaedic and trauma surgery · 2026Article
- Short-term Clinical Outcomes of Primary Total Hip Arthroplasty with the CoreHip Stem.Journal of orthopaedic case reports · 2026Article
- Predictors of mid-term outcomes in 334 developmental dysplasia hips treated with total hip arthroplasty.BMC musculoskeletal disorders · 2025Article
- Factors Associated With Complications in 176 Crowe IV Hips Treated With Total Hip Arthroplasty.Orthopaedic surgery · 2025Article
- Impact of femoral stem alignment on periprosthetic bone density in THA: a study of the Avenir Complete stem.Archives of orthopaedic and trauma surgery · 2024Article
- Identification of Essential Features in Developing a Novel Femoral Stem Reflecting Anatomical Features of East Asian Population: A Morphological Study.Journal of clinical medicine · 2024Article
- The Migration Pattern of a Short-Tapered Femoral Stem Correlates with the Occurrence of Cortical Hypertrophies: A 10-Year Longitudinal Study Using Ein Bild Röntgen Analyse-Femoral Component Analysis.Journal of clinical medicine · 2024Article
- Mid-Term Outcomes of a Short Modular Neck-Preserving Cementless Hip Stem: A Retrospective Study With a 6-Year Minimum Follow-Up.Arthroplasty today · 2024Article
- Comparison of Short Curved Stems and Standard-length Single Wedged Stems for Cementless Total Hip Arthroplasty.Hip & pelvis · 2024Article
- Relationship between Stress Shielding and Optimal Femoral Canal Contact Regions for Short, Tapered-Wedge Stem Analyzed by 2D and 3D Systems in Total Hip Arthroplasty.Journal of clinical medicine · 2023Article
- Differences in peri-hip articular pain after total hip arthroplasty between taper wedge stem and fit-and-fill stem.Journal of orthopaedics · 2023Article
- Fully hydroxyapatite-coated compaction broached and triple-tapered stem may reduce the risk of stress shielding after primary total hip arthroplasty.Archives of orthopaedic and trauma surgery · 2022Article
- Comparing postoperative outcomes of two fully hydroxyapatite-coated collarless stems in total hip arthroplasty through propensity score matching analysis with 2 years follow-up.Scientific reports · 2022Article
- Comparison of tapered-wedge short and standard-length femoral stems in single-stage bilateral direct anterior total hip arthroplasty.International orthopaedics · 2021Article
- Malalignment and distal contact of short tapered stems could be associated with postoperative thigh pain in primary total hip arthroplasty.Journal of orthopaedic surgery and research · 2021Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe occurrence of thigh pain following cementless total hip arthroplasty (THA) may be dependent on multiple factors, which may differ with design of the prosthesis. Thus, this study aimed to investigate the frequency of thigh pain following cementless THA using a short, tapered-wedge stem to identify risk factors for thigh pain.
methodsThis retrospective cohort study analysed 222 joints of patients who underwent THA with a short, tapered-wedge stem. Thigh pain was evaluated using a questionnaire during each follow-up visit, and the clinical and radiographic assessments were compared.
resultsThigh pain occurred in 37 patients (16.7%) during the follow-up period. The pain started two to 24 months after THA. Multivariate analysis demonstrated that higher University of California, Los Angeles, activity rating (odds ratio 7.2; 95% confidence interval (CI) 3.0-17.2); Dorr type C femoral bone shape (odds ratio 1.5; 95% CI 1.1-2.0); and stem tip-cortical bone contact (odds ratio 8.2; 95% CI 2.3-29.4) were significant risk factors of thigh pain following THA. Post-operatively, cortical hypertrophy at Gruen zone 4 was significantly found in patients with thigh pain (p value = 0.032).
conclusionRisk factors of pain following THA with short, tapered-wedge stem were high activity level, Dorr type C femoral bone shape, and stem tip contacting the distal bone surface. Moreover, post-operative cortical hypertrophy at the distal stem tip significantly increased the incidence of thigh pain. Therefore, we must pay attention to the aforementioned factors to avoid post-operative thigh pain when using a short, tapered-wedge stem.
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